Organization
CMA MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA H FUNDERBURG (OWNER)
(601) 354-7422
Entity
Organization
Contact information
Practice address
901 N STATE ST, SUITE A, JACKSON, MS 39202-2627
(601) 354-7422
(601) 355-5400
Mailing address
901 N STATE ST, SUITE A, JACKSON, MS 39202-2627
(601) 354-7422
(601) 355-5400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
07517/11.1
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
07517/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01955317
—
MS
Enumeration date
10/02/2007
Last updated
01/14/2009
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